Nurse Practitioner - Telemedicine - NY/CT License

_*Must be licensed in NY and/or CT*_ *Job Description: Telehealth Advanced Practice Registered Nurse (APRN)/Nurse Practitioner* *Full Time* *Reports to:* Regional Director of Population Health with clinical supervision by Medical Director *Scope:* Performs remote video visits for patients.
Primarily a remote position with occasional in person requirements – meetings, testing, potential for in person visits within designated geography.
*Administrative duties/program development:* Participate in development of RPM/CCM and other clinical programs, development of clinical pathways and protocols, documentation templates and other tools, collaborate re: content of policies and procedures.
*Visits:* Initial visit will include consent for care, regardless of patient program.
Initial onboarding visits for RPM/CCM program, follow up visits and change in condition visits.
Home Health transitional care, follow up and change in condition visits.
Hospice: face to face visits, other follow up visits.
*Oversight of Plan of Care:* RPM/CCM – creation/approval of plan of care upon patient enrollment, and minimum monthly review of plan with additional review/updates as needed with changes in condition.
Oversight/review of readings and other staff interaction notes at time of review, minimum monthly.
*Collaboration with PCP and other care providers:* After each patient interaction, communication with MD via clinical note.
If patient is active on Home Health or Hospice, communication with clinical team re: findings/outcome of visit via clinical notes.
Phone calls will be made in addition to notes for urgent, time sensitive issues.
Practitioner will be available to attend Home Health or Hospice IDT meetings to report on/consult regarding patients seen, high risk patients or patients with changes in condition.
*Clinical Practice:* Must be proficient in industry best practices for diagnoses treated.
Protocols and tools developed will incorporate best practices.
Every visit will include an assessment of the patient status, any changes will indicate reassessment of level of support and proper level of care.
Practitioner will be proficient in knowledge of eligibility for all levels of care including Home Health, Hospice, Palliative and SNF.
Timely communication and resolution of issues identified on visits including communication with PCP, clinical team and patient/family.
Priority focus of visits will be to ensure proper level of care, patient safety and avoidance of unnecessary hospitalizations.
Practitioner will leverage known home diagnostic and treatment capabilities to advocate for patients who can safely be managed at home and avoid avoidable visits to Emergency Department.
Target for patient population managed ACH <=10% (can adjust this).
Plan of care and follow up visits will include a review of Advanced Directives and practitioner will initiate discussions around Goals of Care in collaboration with patient, family, PCP, other clinicians involved in the patient’s care.
*Documentation* Record timely (same day or within 24 hours) and accurate documentation of all encounters in the appropriate RPM/CCM platform and EHR.
*Training and oversight of other Telehealth APRNs* Train and ensure compliance with protocols by any additional APRN who are hired to support coverage/overflow visits.
Although each position has its own unique duties and responsibilities, the following applies to all employees of Impact Health, PC: All employees will : · exercise necessary cost control measures.
· Strive to provide and maintain positive external and internal customer service and promote a culture of excellence in customer service.
· Must demonstrate effective communication skills by convening necessary information accurately, listening effectively and asking questions when clarification is needed · Must be able to be depended upon to plan and organize work effectively and ensures its completion.
· Must be able to demonstrate reliability by arriving to work on time and taking breaks in the expected time frames.
· Will be expected to meet all productivity requirements · Must be able to demonstrate team behavior and must be willing to promote a team –oriented environment · Is expected to represent the organization professionally at all times PHYSICAL REQUIREMENTS 1.
Hearing and speaking ability is required to communicate on the telephone.
2.
Vision is necessary for entering data and preparing schedules 3.
Reaching is required for paper management.
4.
Manual dexterity is required to input computer information , entering data, operating the laptop and telephone.
5.
Mobility is required for occasionally attending meetings in person.
6.
Must be able to speak and write the English language in an understandable manner 7.
Must be able to function independently and have personal integrity.
8.
Ability to travel to various office/sites 9.
May assume on call responsibilities as directed.
Work environment is characteristic of any office setting which involves prolonged periods of sitting, and intermittent physical activity such as occasional requirement to stand, walk, reach with arms and hands PSYCHOLOGICAL REQUIREMENTS 1.
An ability to recognize tasks to be done and perform them independently.
2.
An ability to establish a responsible and trustworthy rapport with staff by: · being punctual and providing proper notification and advance notice for absence and tardiness.
· following through on tasks as assigned.
3.
Flexibility to adjust to changing work schedules.
4.
An ability to work in a fast paced environment under time constraints.
5.
An ability to identify and refer problems to appropriate supervisory personnel.
6.
An ability to cope with stress by remaining calm in communication and actions with all individuals.
7.
Demonstrate ability to maintain professional communication skills at all times.
INTELLECTUAL REQUIREMENTS 1.
An ability to learn all Impact Health PC policies and procedures.
2.
An ability to make rapid and independent decisions 3.
Judgment skills in processing telephone calls.
4.
Organizational skills necessary to establish priority of tasks and meet deadlines 5.
Organizational and judgement skills necessary to plan an input all schedules 6.
An ability to operate all aspects of the computer and telephone.
7.
An ability to understand and follow instructions provided by the supervisor both in written and oral formats.
8.
An ability to read, write and type.
9.
An ability to apply learned procedures to provide creative solutions to a variety of problems.
Job Type: Full-time Pay: $97,120.
39 - $116,962.
19 per year Benefits: * 401(k) * Dental insurance * Flexible schedule * Health insurance * Paid time off * Vision insurance Medical specialties: * Geriatrics Standard shift: * Day shift Supplemental pay types: * Bonus opportunities Work setting: * Hybrid work * Telehealth License/Certification: * Certified Nurse Practitioner (Preferred) Work Location: Hybrid remote in Orange, CT 06477